Case #311 – November, 2011

A 55-year-old homebound Type II diabetic, originally from Haiti, was hospitalized for severe abdominal pain and hematemesis. Blood specimens were collected and sent to Hematology for routine work-up. Digital images were captured on a Wright-stained thin smear from a blood specimen collected at 2:25AM. The images (Figure AC) were sent via email to the DPDx Team for diagnostic assistance. Measurements were not included in the email. What is your diagnosis? Based on what criteria?

Figure A

Figure B

Figure C

This case and images were kindly provided by the Wyckoff Heights Medical Center, Brooklyn, New York.

Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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